| NPI | 1982366845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MO 100018A) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: VA 189164) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2021-10-07 |